<?php include 'header.php'; ?>

	<div id="sign-up-holder">
		<div id="sign-up-form">
			<h4>Sign Up Now</h4>
			<form action="#" method="post">
				<p class="label">Email : <span><input type="text" name="email" id="email" class="signup"/></span></p>
				<p class="label">Firstname : <span><input type="text" name="firstname" id="firstname" class="signup"/></span></p>
				<p class="label">Lastname : <span><input type="text" name="lastname" id="lastname" class="signup"/></span></p>
				<p class="label">Address1 : <span><input type="text" name="address1" id="address1" class="signup"/></span></p>
				<p class="label">Address2 : <span><input type="text" name="address2" id="address2" class="signup"/></span></p>
				<p class="label">City : <span><input type="text" name="city" id="city" class="signup"/></span></p>
				<p class="label">State : <span><input type="text" name="state" id="state" class="signup"/></span></p>
				<p class="label">Country : <span><input type="text" name="country" id="country" class="signup"/></span></p>
				<p class="label">Postal Code :<span><input type="text" name="postal-code" id="postal-code" class="signup"/></span></p>
				<p class="label">Your Website : <span><input type="text" name="website" id="website" class="signup"/></span></p>
				<p class="label">Your Twitter URL : <span><input type="text" name="twit-url" id="twit-url" class="signup"/></span></p>
				<p class="label">Decription : <span><input type="textarea" name="description" id="description" class="signup"/></span></p>
				<p class="label">Contact : <span><input type="text" name="contact" id="contact" class="signup"/></span></p>
				<p class="label">Profile Picture : <span><input type="file" name="profpic" id="profpic" class="signup" /></span></p>
				<input type="submit" value="Sign Up"/>
			</form>
		</div>
	</div>
</body>
</html>	